ID

42823

Description

Documentation form "Kitteltaschenzettel"converted to ODM format. Routine documentation of University Hospital of Essen. Publication granted by: Priv.-Doz. Dr. med. Benedikt, University Hospital of Essen, Essen, Germany.

Keywords

Versions (2)
  1. 3/27/17 3/27/17 -
  2. 9/17/21 9/17/21 -
Copyright Holder

University Hospital Essen

Uploaded on

September 17, 2021

DOI

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License

Creative Commons BY-NC 3.0
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Pocket Note MS Outpatient Department Neurology University Hospital Essen

German

Pocket Note

1 forms  
  1. StudyEvent: ODM
    1. Pocket Note
Administrativ
Description

Administrativ

Alias
UMLS CUI-1
C1320722
Patientenname
Description

Patient name

Data type

text

Alias
UMLS CUI [1]
C1299487
Geburtsdatum
Description

Date of birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Alter
Description

Age

Data type

integer

Alias
UMLS CUI [1]
C0001779
Aufnahme
Description

Admission date

Data type

date

Alias
UMLS CUI [1]
C1302393
Station
Description

Ward

Data type

text

Alias
UMLS CUI [1]
C1305702
Zimmer
Description

Room

Data type

integer

Alias
UMLS CUI [1]
C1547120
KK- Status
Description

Insurance status

Data type

text

Alias
UMLS CUI [1]
C1548070
REA
Description

REA

Data type

text

Zuständig
Description

responsible

Data type

text

Alias
UMLS CUI [1]
C1273518
Diagnosen
Description

Diagnosen

Alias
UMLS CUI-1
C0011900
Diagnosen
Description

Diagnosis

Data type

text

Alias
UMLS CUI [1]
C0011900
Verlauf/ Aufgaben
Description

clinical course

Data type

text

Alias
UMLS CUI [1]
C0449259
Diagnostik
Description

Diagnostic

Data type

text

Alias
UMLS CUI [1]
C0086143
Für alle Patienten mit Schlaganfall ausfüllen:
Description

Für alle Patienten mit Schlaganfall ausfüllen:

Alias
UMLS CUI-1
C0038454
Prämorbider mRS
Description

Modified Rankin Scale Premorbid

Data type

text

Alias
UMLS CUI [1,1]
C2984908
UMLS CUI [1,2]
C4036806
NIHSS bei Aufnahme
Description

NIH stroke scale; admission

Data type

text

Alias
UMLS CUI [1]
C1697238
UMLS CUI [2]
C0184666
Symptombeginn
Description

Date and Time Symptom Start

Data type

datetime

Alias
UMLS CUI [1,1]
C1264639
UMLS CUI [1,2]
C0586401
Differenz bis Aufnahme
Description

admission

Data type

text

Alias
UMLS CUI [1]
C0030673
Lysebeginn
Description

Date and time Lysis Beginning

Data type

datetime

Alias
UMLS CUI [1,1]
C1264639
UMLS CUI [1,2]
C0024348
UMLS CUI [1,3]
C0439659
Zeitspanne seit Aufnahme
Description

period Patient Admission

Data type

text

Alias
UMLS CUI [1,1]
C1948053
UMLS CUI [1,2]
C0030673
Thrombektomiebeginn
Description

Date and time Thrombectomy Beginning

Data type

datetime

Alias
UMLS CUI [1,1]
C1264639
UMLS CUI [1,2]
C0162578
UMLS CUI [1,3]
C0439659
Zeitspanne seit Aufnahme
Description

period Patient Admission

Data type

text

Alias
UMLS CUI [1,1]
C1948053
UMLS CUI [1,2]
C0030673
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Similar models

Pocket Note

1 forms
  1. StudyEvent: ODM
    1. Pocket Note
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrativ
C1320722 (UMLS CUI-1)
Patient name
Item
Patientenname
text
C1299487 (UMLS CUI [1])
Date of birth
Item
Geburtsdatum
date
C0421451 (UMLS CUI [1])
Age
Item
Alter
integer
C0001779 (UMLS CUI [1])
Admission date
Item
Aufnahme
date
C1302393 (UMLS CUI [1])
Ward
Item
Station
text
C1305702 (UMLS CUI [1])
Room
Item
Zimmer
integer
C1547120 (UMLS CUI [1])
Insurance status
Item
KK- Status
text
C1548070 (UMLS CUI [1])
REA
Item
REA
text
responsible
Item
Zuständig
text
C1273518 (UMLS CUI [1])
Item Group
Diagnosen
C0011900 (UMLS CUI-1)
Diagnosis
Item
Diagnosen
text
C0011900 (UMLS CUI [1])
clinical course
Item
Verlauf/ Aufgaben
text
C0449259 (UMLS CUI [1])
Diagnostic
Item
Diagnostik
text
C0086143 (UMLS CUI [1])
Item Group
Für alle Patienten mit Schlaganfall ausfüllen:
C0038454 (UMLS CUI-1)
Modified Rankin Scale Premorbid
Item
Prämorbider mRS
text
C2984908 (UMLS CUI [1,1])
C4036806 (UMLS CUI [1,2])
NIH stroke scale; admission
Item
NIHSS bei Aufnahme
text
C1697238 (UMLS CUI [1])
C0184666 (UMLS CUI [2])
Date and Time Symptom Start
Item
Symptombeginn
datetime
C1264639 (UMLS CUI [1,1])
C0586401 (UMLS CUI [1,2])
admission
Item
Differenz bis Aufnahme
text
C0030673 (UMLS CUI [1])
Date and time Lysis Beginning
Item
Lysebeginn
datetime
C1264639 (UMLS CUI [1,1])
C0024348 (UMLS CUI [1,2])
C0439659 (UMLS CUI [1,3])
period Patient Admission
Item
Zeitspanne seit Aufnahme
text
C1948053 (UMLS CUI [1,1])
C0030673 (UMLS CUI [1,2])
Date and time Thrombectomy Beginning
Item
Thrombektomiebeginn
datetime
C1264639 (UMLS CUI [1,1])
C0162578 (UMLS CUI [1,2])
C0439659 (UMLS CUI [1,3])
period Patient Admission
Item
Zeitspanne seit Aufnahme
text
C1948053 (UMLS CUI [1,1])
C0030673 (UMLS CUI [1,2])
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